I

ntr
oduct
ion
Pneumoni ai st heacut ei nflammat i
onoft hel owerr espi ratoryt r
actt hatmost ly
affect st hepar enchy maoft hel ungs, whi chi scausedbyv irusorbact er i
a.Incaseof
pneumoni a,di ff
icul tybr eat hi
ngoccur sduet oaccumul at i
onofpusorf luidi nt he
alveol iofl ungs.Maj or i
tyofchi ldrendi eduet opneumoni amaki ngitonoft hel argest
i
nf ectious cause ofdeat h ev en mor et han AI DS,measl es,mal ar ia,combi ned.
(Pradhanet .al 2016)
Pneumoni aki l
lsaboutonemi lli
onchi l
drenev eryy earandr esponsi blef or17- 19%of
alldeat hamongunderf ivechi l
dr enal ar genumberofpneumoni a( 99%)occuri n
dev elopi ng count ries . Incidence ofpneumoni a among underf i
v e chi l
dren i s
measur edt obe0. 05and0. 29epi sodesperchi ld-y eari n dev elopedanddev eloping
count r i
es.Ev er yy earabout156mi lli
onsnew casesoccurwor l
dwi de;151mi ll
i
on
casesar ei ndev elopi ngcount r
iesand7- 13%oft hesecasesar elife-threat eningand
need t o be hospi tal.(Fadlet .al2020) .Pneumoni ai sa publ i
cf i
tnessi nI ndi a.
Accor dingt oWHO ( Wor l
dHeal thOr gani zat ion)pneumoni ai sconsi deredast he
forgot tenki llerofy oungst er sandi ti sthemai nr easonofchi ldhoodmor bidityand
thedemi sei nmanygr owi ngi nt ernat i
onall ocat i
onsi nfluenci ngt womi ll
iondemi se
i
nt ernat ionalev eryy ear.Themai nr easonschi ldren’ sar eaf f ectedbypneumoni aand
comet ohospi t
ali senv ir
onment alhy giene.I ncaseofpneumoni at hesy mpt oms
appear s-Fev er ,cough,sor e-throat ,r unni ngnose,f astbr eat hing,chest -
indr awi ng,
wheezi ng,i rri
tabi l
ity ,chestpai n,chi l
ls and t achy car dia.( Gandhoret .al2019) .
Pneumoni amai nl yoccur samongpeopl el ivi
ngi npov erty.Accor dingt owor ldheal th
organi zat ion( WHO)t her iskf act or sf orpneumoni aar eunderwei ght ,inadequat e
breastf eedi ng, lackofi mmuni zat ionandi ndoorandout doorai rpol l
ut i
on.( Fadlet .al
2020) .Ital sooccur sbyl ackofnut r
iti
on’ sandpoorhomeenv ironment ,par ent al
smoki ngandpoorheal thser vices.( Pradhanet .
al2016) .Pneumoni aar epr ev ent able
byexcl usi vebr eastf eedi ngpr act ice, propernut ri
tion, v acci nat i
on, handwashi ngwi th
soapwat er,hy gi enicdr inkingwat erandgoodsani tat i
onet c.Thei ntegr atedgl obal
act i
onpl anf orpneumoni aanddi arrheadeat hsandhassetagoalofdoi ngsoby
2025.( Pr adhanet .al2016) .TheWHOest i
mat est hatev er y1i n3newbor ni nf ant ’s
deat hi scausedbypneumoni ai nfection.Gl obal lyar ound2mi ll
iondeat hswer e
repor tedandnowi tisest imat edt o1mi l
lionduet oi mpl ement ati
onofpr ev ent able
vacci nes.About75, 000-1. 2mi l
lionneonat aldeat hsoccurduet opneumoni ai n
ever yy ear .(Gai kwadet .al2020) .Accor dingt oi nci dencer at eofpneumoni ai n2015-
2016about50%oft hewor ld’
spneumoni adeat hoccur sinI ndia.Whi chmeansabout
3.7l ackchi l
dr endi edueannual l
yduet opneumoni ai nI ndi a.Hasanl esst han5
mor t
al i
tyr ate of48 pert housand l i
f e bi rth.( Gandharet .al2019) .Al though
prev ent ablei nfect ionpneumoni ar emai nst hel eadi ngcauseofdeat hamongchi ldr en
i
nt hecount ry.Some24, 300chi ldr enaged0- 5y ear sdi eofpneumoni ai nBangl adesh
ever yy ear .From t hiscount67chi ldrenundert heageoff ivedi eofpneumoni aint he
count r yev erydayoft hese52%chi ldrendi eathomewi thoutget ti
nganyt reat ment .
Thi si nf ormat ion was r evealed ata v iews exchange pr ogr amme or gani zed by
r
esearchfordeci
si
onmaker
s(RDM)andDataforimpact(D4 I
)att
heI
CDDRBon
Wednesday–adaybef
oreworl
dpneumoni
aday2020.(
ICDDRB).

Just
if
icat
ion
Pneumoniaishighl
yfataldi
seasei
nunder -
fi
vechil
dren.Pneumoniabecomesoneof
majorcausesofdeat hinchil
drenunder-f
iveyear
sofagei ndevel
opingcount
ri
es
about10-
20%.TheWHOest imatethatev
ery1in3newbor ninf
antsdeathi
stodueto
pneumoniainf
ecti
on.

Thest udyi stoojustl

yaboutpneumoni a,i
tscauses,andal sot oident if
yawar eness
ofpar entsr egardi
ng pneumoni a.The st udyi stof i
nd outt he knowl edge and
practi
cesamongpar entsregardingchildhoodpneumoni aandt oi dent i
fyf actorsof
pneumoni a.Pneumoni aisoneoft hecommoncausesofdeat hinchi ldren.Mot hers
areconsi deredtobet heprimarycar et
akerofachi l
d.Itisimpor tantf orpar entst o
haveknowl edgeregardingpneumoni a,itsfirstsignandsy mptomset c.Mot hersar e
responsiblet ogivet hef i
rstmilki .
e.col ostrumst oimpr ov
et hechi ld’
si mmune
system.Accor di
ngt odi f
ferentstudiesknowl edgeisfoundt ol oweri nmot herof
chil
dren.Theper sonal hygi
eneisal sofoundt obev erypoor.Duet othesef actorst he
chil
drenar enotcur edatt hepr imaryl ev
el.Ther ef
ore,itisnecessar ytof i
ndt he
parentsknowl edge.
 Obj
ect
ives
Gener
alobj
ect
ives:
Toassesstheknowledgeofregar
dingpneumoni
aamongmot
her
sof
under
-f
ivechi
l
drenatShahidSyedNazrul
Isl
am MedicalCol
l
egeHospi
tal
.

Speci
fi
cobj
ect
ives:
1.Toassessthemothersknowl
edger
egar
dingconcept
sofpneumoni
a
ofunder-
fi
vechi
l
dren.

2.To f
ind outthe l
evelofmothers knowledge r
egar
ding si
gn and
sy
mpt omsofpneumoni
aofunder
-f
ivechil
dren.

3.Toi
dent
if
iest
hemot
her
ssoci
o-demogr
aphi
cchar
act
eri
sti
cs
 Resear
chMet
hodol
ogy
St
udydesi
gn:
Adescript
ivecr
osssect
ionalst
udywil
lbeusedtoassesstheknowledger
egarding
pneumoniaamong mothersofunder-f
ivechi
l
dren ofShahid Sy
ed Nazr
ulIslam
Medical
Coll
egeHospi
tal
,Kishor
egonj
.

St
udyper
iod:Sept
ember2023t
oJul
y2024.

St
udypl
ace:
Thest
udywil
lbeconduct
edatShahi
dSy
edNazr
ulI
slam Medi
calCol
l
egeHospi
tal
,
Ki
shor
egonj
.

St
udypopul
ati
on:
Mothersofunder
-f
ivechi
l
drenatShahi
dSy
edNazr
ulI
slam Medi
calCol
l
egeHospi
tal
,
Ki
shoregonj
.

Sampl
e:
Mothersofunder
-fi
vechil
dreni
nindoorandoutdoordepar
tmentatatShahi
dSy
ed
Nazrul
Isl
am MedicalCol
l
egeHospit
al,
Kishor
egonj.

Sampl
esi
ze:

Sampl
etechni
que:
Conv
eni
encesampl
i
ngt
echni
quewi
l
lbeusedf
ordat
acol
l
ect
ion.

Cr
it
eri
aofsampl
esel
ect
ion:

I
ncl
usi
oncr
it
eri
a:

 Themot
her
swhohav
eunder
-f
ivechi
l
dren.
  Themot
her
swhoar
eint
erest
edt
opar
ti
cipat
eint
he
st
udy.Themot her
swhoarerecei
vi
ngcareatShahi
d
SyedNazr
ulI
slam Medi
cal
Col
l
egeHospit
al.

 Excl
usi
oncr
it
eri
a:

 Themot
her
swhohav
enotunder
-f
ivechi
l
dren.

 Themot
her
swhoar
enoti
nter
est
edt
opar
ti
cipat
ein
t
hest
udy
.

I
nst
rumentorTool
s:
St
ruct
uredquesti
onnai
reswil
lbedev
elopedt
ocol
l
ectdat
abyr
evi
ewi
ngt
heexi
sti
ng
l
it
erat
ure.I
twi
llbetwosect
ions.

Secti
on -1 :Soci o-
demogr aphi
cinformationincl
udi
ng age,rel
igi
on,educati
onal
qual
ifi
cat
ion,economicstatus,sani
tat
ion,envi
ronmentalcondi
ti
on,occupat
ion,any
chi
ldofhersuffer
ingfrom pneumonia.

Secti
on-2:Knowl edgebasedquesti
onnai
reonpneumoni
aincl
uding10it
em of
multi
pler
esponsesquest
ionswi
th“Yes”and“No”opt
ions“
Yes”equal1and“No”
equal0.

Et
hical
consi
der
ati
on:
Allet
hicalconsi
derati
onr equi
rement sincl
udi
ngInst
it
uti
onalReviewBoard(I
IRB)of
SZTNC.Per mi
ssion willbe t
aken f rom aut
hori
tyofselected hospi
tali
nformed
consentwillbetakenfrom parti
cipantandensur
eabouttheirri
ghtsorwit
hdrawsat
anyti
me.

Dat
acol
l
ect
ionmet
hod:
Priortodatacollecti
ont heproposalwil
lbeapprovedbyt her esear
chcommi tt
eeof
SyedaZohr aTajuddinNur i
singCol l
ege( SZTNC).I
nsti
tutionalpermissionwi l
lbe
obtainedfrom thedi r
ectorofShahi dSyedNaz rulI
slam Medi calCol
legeHospi tal
,
Kishoregonj.Inf
or m consentwi l
lbe taken from the study parti
cipants.After
explaini
ngtheobj ect
ivesdatawillbecol
lectedbysel
f-
admi nister
edquestionnai
reby
questiondist
ri
bution.

Dat
aanal
ysi
s:
Coll
ected data wil
lbe organi
zed,checked,clear
ed and coded.Alldata wil
lbe
processed through t
he SPSS ( Stat
isti
calPackage for the SocialSci
ences).
Descripti
veStati
sti
cs(Uni
vari
atesanal
y si
s)wil
lbeusedtopr esent
eddemo-graphi
c
characteri
sti
cs.Knowl
edgelevelwi
llbedescri
bedinter
msoff r
equency,
per
centage,
mean,
medi
an,
standar
ddev
iat
ion.

ConsentFor
m
Resear
chTi
tl
e:“
Knowl
edger
egar
dingpneumoni
aamongmot
her
sofunder
-f
ive
y
ear
schi
l
drenatShahi
dSy
edNazr
ulI
slam Medi
cal
Col
l
egeHospi
tal
,Ki
shor
egonj
”.

Resear
cher: Kani
jFat
emaShobor
na,MostNur
unnaharKhat
un,AnonnaAkt
er,
AsmaAkt
er,
Sai
ful
Isl
am.

Seni
orSt
affNur
se

B.
Sci
nNur
sing

Sy
edaZohr
aTaj
uddi
nNur
singCol
l
ege,
Kapasi
a,Gazi
pur
.

DearPar
ti
cipant
,

Wear ethest udent sofB. ScinNur si ng(PostBasi c)ofSy edaZohr aTajuddinNur sing
College,Kapasi a,Gazi pur.Wear egoi ngt oconductnur singr esearchon“ Knowledge
regardingpneumoni aamongmot her sofunder -f
ivey ear schildrenat“ Shahi dSy ed
Nazr ulIslam Medi calCol l
ege Hospi tal,Kishoregonj ”.Accor ding to my st udy
i
nclusioncr it
er i
ay ouar eeligiblet opar ti
cipateinthisst udy .Therefore,Iwoul dli
ket o
requesty out opar t i
cipateinmyr esearchandpr ov i
dey ourv aluablei nformation
based on t he quest i
onnaire.Yourpar t
ici
pation int hisr esearch i s compl etel
y
voluntary.Int hisst udyy ouri nvolv ementwi l
lnotanyhar m orr iskf oryour sel
fand
youror ganization.Ity ouwant ,youcanwi thdrawy ourselff rom thest udyatanyt i
me
beforey ourdat ahav ebeenpr ocessed.Thei nformat i
ony ouhav epr ovi
dedwi l
lonly
bepr esentedasawhol e.Iwoul dliket oassurey out hatconf i
dentiall
yandanony mi t
y
willbemai ntainedt hroughoutt hepr ocess.
I
fy ouagreepart
ici
pat
eint
hisst
udy
,pl
easesi
gni
nandansweral
lthei
temsoft
he
questi
onnai
re.

Pr
inci
pal
Inv
est
igat
or’
s Par
ti
cipantsi
gnat
ure

Name:
…………………………….
. Name:
…………………………….
.

Dat
e:……………………………… Dat
e:………………………………